Individual
LESA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED CCC-SLP
Contact information
Practice address
210 J ST, QUINTON, OK 74561-2008
(918) 469-3313
Mailing address
30181 S COUNTY ROAD 4310, QUINTON, OK 74561-1038
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
941
OK
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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